Healthcare Provider Details
I. General information
NPI: 1326353061
Provider Name (Legal Business Name): PRITCHETT EYE CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2010
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
831 KEYSTONE AVE
RENO NV
89503-2501
US
IV. Provider business mailing address
5961 LOS ALTOS PKWY STE 101
SPARKS NV
89436-2500
US
V. Phone/Fax
- Phone: 775-746-2020
- Fax: 775-746-2022
- Phone: 775-359-2020
- Fax: 775-359-2676
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JONATHAN
MARK
CHRISTIANSEN
Title or Position: PRESIDENT
Credential: OD
Phone: 714-356-8451